Organization Active NPI

Rha Trenton Mr Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, TN
National Provider Identifier
1124353560
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
RHA TRENTON MR INC.
Practice address
367 Oakfield Rd.
Jackson, TN 38305
Phone
(731) 855-0537
Fax
(731) 855-1257
NPI assigned
Oct 2, 2009
Organization subpart
Yes
Parent organization
RHA TRENTON MR INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Anita Deckard
Title
Administrator
Phone
(731) 855-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

367 Oakfield Rd.
Jackson, TN 38305

Mailing address

2055 US Highway 45 Byp S
Trenton, TN 38382-3501
Phone (731) 855-0537

Other names 1

  • 367 Oakfield Rd. Other name

National Provider Directory

National Provider Directory
Tax ID family
Rhatrenton Mrinc22 organizations share this tax ID, including this one
Part of
Rhatrenton Mrinc

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1124353560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 US HIGHWAY 45 BYP S",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823501",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 OAKFIELD RD.",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-855-0537",
            "fax_number": "731-855-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA TRENTON MR INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHA TRENTON MR INC.",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "DECKARD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-855-0537",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "367 Oakfield Rd.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.